Results 1 to 6 of 6

Can you bill an office visit for infection after sx.

  1. Default Can you bill an office visit for infection after sx.
    Medical Coding Books
    My Dr. did a procedure 19020 (incision breast lesion) and then six days later (3 post op visits later) the doctor saw the patient with dx V09.0 (infections with microorganisms resistant. Can he bill an office visit?

  2. #2
    yes with a 24 modifier, if the reason for the visit is now for infection.

  3. #3
    I don't see how you can bill an e/m with a -24. Because a -24 is for unrelated e/m during the post-op period. So how can it be unrelated if the pt would have not got the infection unless they had the surgery? Can anyone direct me to where I can find that you put a -24 on it. I know in the CPT guidlines it says you can report it separately, but it says nthing about what modifier to use.

    Jessica Harrell, CPC

  4. #4
    Bettendorf, Iowa
    If its within the global period and related to the surgery you shouldn't bill it.

  5. #5
    Kansas City MO
    Post Yes, you can!
    The CPT surgery guidelines state the following:

    Follow-up care for therapeutic surgical procedure includes only that care which is usually part of the surgical service. Complications, exacerbations, resurrence, or the presence of other diseases or injuries requiring additional services should be seperately reportable.

    BUT, if the carrier is Medicare, you cannot bill for the E/M.

  6. #6
    I know it says that! But where does it say that you use a -24. Because -24 is an unrelated mod I have a had time using it.

    Jessica Harrell, CPC

Similar Threads

  1. How to bill for injection w/ office visit
    By in forum Billing/Reimbursement
    Replies: 3
    Last Post: 08-21-2015, 03:39 PM
  2. Replies: 2
    Last Post: 08-04-2014, 12:55 PM
  3. Replies: 2
    Last Post: 01-21-2010, 12:30 PM
  4. Replies: 6
    Last Post: 01-19-2010, 12:13 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.